胰腺实质性假乳头状瘤的诊治分析（附6例报告）  

Diagnosis and treatment of solid pseudopapillary tumor of the pancreas （ a report of 6 cases）

作　　者：解乃昌[1] 李绍森[1] 吴向华[1] 

机构地区：[1]广西医科大学第一附属医院胃肠腺体外科,南宁530021

出　　处：《国际外科学杂志》2011年第3期157-159,共3页International Journal of Surgery

摘　　要：目的探讨胰腺实质性假乳头状瘤的诊治方法。方法回顾性分析2008年8月-2010年4月期间经广西医科大学第一附属医院手术治疗的6例患者的临床资料。结果患者6例，其中女5例，男1例，年龄17～31岁（平均21．8岁）。肿瘤最大径6．6～13．0cm（平均8．2cm），胰头部2例，体尾部4例；腹部B超、CT诊断胰腺囊实性占位4例，实质性占位2例，均获完整切除和病理诊断。行开腹手术5例，其中胰头十二指肠切除术2例，胰体尾切除术2例，胰体尾切除术加脾切除术1例。行腹腔镜胰体尾切除术加脾切除术1例。结论胰腺实质性假乳头状瘤患者以青年女性多见，肿瘤边界清、体积大。腹部B超、CT检查是重要的诊断手段。根据肿瘤部位确定胰腺切除范围，手术切除率高，对体尾部肿瘤可试行保留脾脏的胰体尾切除术。Objective To discuss the diagnosis and treatment of the solid pseudopapillary tumor of the pancreas （SPTP）. Methods Six consecutive cases operated in our hospital from Aug. 2008 to Apr. 2010 were reviewed. Results Those cases aged ranging from 17 to 31 years, with an average age of 21.8 years. The maximal dimension of tumor ranged from 6.6 to 13.0 cm, averaging 8.2 cm. Those tumors originated from pancreatic head （2）, and body or tail （4）. Abdominal B-ultrasound or CT scan examination disclosed that pancreas had solid-cystic mass in 4 cases, and the other two had solidmass. All tumors were resected completely and defined pathologically. We performed 5 open operations, including panereaticoduodenectomy （2 cases）, spleen-preserving distal paucreateetomy （2 cases） and distal panereateetomy plus spleneetomy （1 case）. One case underwent laparoscopie distal panereatectomy plus spleneetomy. Conclusions The young females are more likely suffered from the SPTP than others, which usually has a clear boundary and large volume. The abdominal B-ultrasound and CT scan are important diagnostic methods. The surgical modality of panereatectomy is dependent on the tumor＇ s location and extent, furthermore the resectability of SPTP is high. It is possible to perform a spleen-preserving distal pancreatectomy for tumors located in pancreatic body or tail.

关 键 词：实质性假乳头状瘤 胰腺 诊断 治疗 

分 类 号：R735.9[医药卫生—肿瘤]